Research Article

Associations of Maternal Complaints to Levator Ani Muscle Trauma within 9 Months after Vaginal Birth: A Prospective Observational Cohort Study

Table 3

Pelvic floor symptoms between the four different levator ani muscle state groups 1-4 days after birth (P1).

QuestionsIntact
(67%)
Hematoma
(14.6%)
PAV
(6.6%)
CAV
(11.8%)
value

(1) I lose urine involuntary/against my will0.510
 (i) Yes37 (26.1)4 (12.9)4 (28.6)7 (28.0)
 (ii) No98 (69.0)24 (77.4)10 (71.4)17 (68.0)
 (iii) Missing data7 (4.9)3 (9.7)0 (0.0)1 (4.0)
(2) Compared to the time before childbirth, I lose urine involuntary/against my will0.676
 (i) Less often2 (5.4)1 (25.0)0 (0.0)0 (0.0)
 (ii) Unchanged16 (43.2)2 (50.0)1 (25.0)3 (42.9)
 (iii) More often12 (32.4)1 (25.0)2 (50.0)4 (57.1)
 (iv) Missing data7 (4.9)0 (0.0)1 (25.0)1 (12.5)
(3) I lose stool involuntary/against my will0.337
 (i) Yes6 (4.2)1 (3.2)0 (0.0)3 (12.0)
 (ii) No125 (88.0)27 (87.1)13 (92.9)22 (88.0)
 (iii) Missing data11 (7.7)3 (9.7)1 (7.1)0 (0.0)
(4) Compared to the time before childbirth, I lose stool involuntary/against my will0.036
 (i) Less often1 (16.7)0 (0.0)Not applicable0 (0.0)
 (ii) Unchanged5 (83.3)1 (100.0)0 (0.0)
 (iii) More often0 (0.0)0 (0.0)3 (100.0)
 (iv) Missing data0 (0.0)0 (0.0)0 (0.0)
(5) I lose gas involuntary/against my will0.225
 (i) Yes55 (38.7)16 (51.6)6 (42.9)14 (56.0)
 (ii) No77 (54.2)11 (35.5)7 (50.0)10 (40.0)
 (iii) Missing data10 (7.0)4 (12.9)1 (7.1)1 (4.0)
(6) Compared to the time before childbirth, I lose gas involuntary/against my will0.368
 (i) Less often1 (1.8)1 (6.3)0 (0.0)1 (7.1)
 (ii) Unchanged39 (70.9)9 (56.3)3 (50.0)5 (35.7)
 (iii) More often15 (27.3)6 (37.5)3 (50.0)7 (50.0)
 (iv) Missing data0 (0.0)0 (0.0)0 (0.0)1 (7.1)
(7) I have a feeling of discomfort/foreign body in the vagina0.657
 (i) Yes46 (32.4)11 (35.5)5 (35.7)12 (48.0)
 (ii) No85 (59.9)16 (51.6)8 (57.1)13 (52.0)
 (iii) Missing data11 (7.7)4 (12.9)1 (7.1)0 (0.0)
(8) Compared to the time before childbirth, I have a feeling of discomfort/foreign body in the vagina0.236
 (i) Less often2 (4.3)0 (0.0)0 (0.0)0 (0.0)
 (ii) Unchanged17 (37.0)2 (18.2)3 (60.0)1 (8.3)
 (iii) More often23 (50.0)8 (72.7)2 (40.0)10 (83.3)
 (iv) Missing data4 (8.7)1 (9.1)0 (0.0)1 (8.3)
(9) I have the feeling of something squeezing downwards into the vagina0.396
 (i) Yes24 (16.9)2 (6.5)2 (14.3)6 (24.0)
 (ii) No109 (76.8)26 (83.9)12 (71.4)19 (76.0)
 (iii) Missing data9 (6.3)3 (9.7)0 (0.0)0 (0.0)
(10) Compared to the time before childbirth, I have the feeling of something squeezing downwards into the vagina0.827
 (i) Less often3 (12.5)0 (0.0)0 (0.0)0 (0.0)
 (ii) Unchanged12 (50.0)1 (50.0)1 (50.0)2 (33.3)
 (iii) More often8 (33.3)1 (50.0)1 (50.0)4 (66.7)
 (iv) Missing data1 (4.2)0 (0.0)0 (0.0)0 (0.0)
(11) Compared to the time before childbirth, I have the feeling that my vaginal opening is0.037
 (i) tighter/closer7 (4.9)3 (9.7)3 (21.4)3 (12.0)
 (ii) unchanged107 (75.4)16 (51.6)8 (57.1)14 (56.0)
 (iii) wider15 (10.6)6 (19.4)2 (14.3)7 (28.0)
 (iv) missing data13 (9.2)6 (19.4)1 (7.1)1 (4.0)
(12) Compared to the time before childbirth, I have the feeling that my pelvic floor is0.055
 (i) weaker47 (33.1)14 (45.2)5 (35.7)17 (68.0)
 (ii) unchanged78 (54.9)12 (38.7)8 (57.1)8 (32.0)
 (iii) stronger6 (4.2)0 (0.0)0 (0.0)0 (0.0)
 (iv) missing data11 (7.7)5 (16.1)1 (7.1)0 (0.0)

Values in (%), ; CAV = complete avulsion. Statistical significance.